| NPI | 1679339832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1181369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 11717) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-07-18 |